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Organization

ADULT & ADOLESCENT COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARY EDWARD EVANS LMHC (COUNSELOR)
(352) 870-8100
Entity
Organization

Contact information

Practice address
2630 NW 41ST ST STE B, GAINESVILLE, FL 32606-6666
(352) 870-8100
(352) 548-4998
Mailing address
2630 NW 41ST ST STE B, GAINESVILLE, FL 32606-6666
(352) 870-8100
(352) 548-4998

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH6848
FL
101YM0800X
Mental Health Counselor
Primary
MH 6848
FL

Other

Enumeration date
03/21/2008
Last updated
03/21/2008
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